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'Fight PCTs over inhaler switch'

Dr Dermot Ryan believes GPs must actively fight PCT attempts to force patients to switch inhalers against the interests of their care.

Dr Ryan, a GP in Loughborough, Leicestershire, and member of the General Practice Airways Group, warned: 'PCTs are resorting to ever more desperate attempts to switch patients to cheaper medication whether or not this is in their best interests.

'Switching without consent will lead to a loss of asthma control and the risk of excessive urgent care. This is an increasingly widespread practice driven by managers with no clinical skills.

'It should be condemned by a medical profession which is just lying down and taking it.'